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Prulifloxacin: a brief review of its potential in the treatment of acute exacerbation of chronic bronchitis

Authors Francesco Blasi, Stefano Aliberti, Paolo Tarsia, PierAchille Santus, Stefano Centanni, Luigi Allegra

Published 15 April 2007 Volume 2007:2(1) Pages 27—31



Francesco Blasi, Stefano Aliberti, Paolo Tarsia, PierAchille Santus1, Stefano Centanni1, Luigi Allegra

Institute of Respiratory Diseases, University of Milan, Fondazione IRCCS Policlinico-Mangiagalli-Regina Elena Milano, Italy; 1Institute of Lung Disease, Respiratory Unit, San Paolo Hospital, Milan Italy

Abstract: Exacerbations of chronic bronchitis (AECB) are a major cause of morbidity and mortality in patients with chronic obstructive pulmonary disease (COPD), and their impact on public health is increasing. The new fluoroquinolones have an excellent spectrum providing cover for the most important respiratory pathogens, including atypical and “typical” pathogens. Not surprisingly, different guidelines have inserted these agents among the drugs of choice in the empirical therapy of AECB. The pharmacokinetic and dynamic properties of the new fluoroquinolones have a significant impact on their clinical and bacteriological efficacy. They cause a concentration-dependent killing with a sustained post-antibiotic effect. This review discusses the most recent data on the new fluoroquinolone prulifloxacin and critically analyses its activity and safety in the management of AECB.

Keywords: prulifloxacin, exacerbations, chronic bronchitis